Making the most of an appointment

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1 Making the most of an appointment fighting childhood liver disease Support Series JOB PROOF 04 14/03/2006

2 Welcome This leaflet has been written for: Parents/carers of a child/young person diagnosed with a liver condition Young people diagnosed with a liver condition This leaflet aims to provide some thoughts and ideas about preparing for, during and after an appointment with a professional You may find it helpful to read the following CLDF leaflets: Guide to the liver Glossary of terms Routine investigations for liver disease Relevant leaflet on your liver condition Children s Liver Disease Foundation (CLDF) also has leaflets in its support, medical and nutrition series which are available to download from our website childliverdisease.org. Leaflets can be mailed to UK patients free of charge, our contact details are on this leaflet. We also have the following information packs available, free of charge: Essential 5 CLDF s starter kit of vital information 2 Education a pack supporting children and young people under 18 in an educational setting GP Practice a pack for families to give to their GP providing a range of information on childhood liver disease Friends and Relatives Yellow Alert a pack to support CLDF s Yellow Alert Campaign for early diagnosis of liver disease in newborn babies All are available on request to UK families and young adults. Overseas families should contact CLDF to discuss their literature needs.

3 Before your appointment or meeting Questions may come to you at different times. Write them down have a pen and a questions chart (found at the end of this leaflet) or have a piece of paper always at hand. If you can, run through your questions the day before. This also gives you the opportunity to add any additional questions and ensures you ask what you want to ask. Ask a friend or family member to come with you. They may hear things that you don t and vice versa. Parents- ask your son/daughter if they have any questions they would like to ask or have asked on their behalf. You may wish to encourage your child to ask the questions themselves. You could help to prepare them. Explain to them what you are proposing to ask. Young people may also wish to talk to their parent/carer about the questions they wish to ask. This may include saying that as a young person you wish to have some time on your own with the doctor/nurse. Remember It is normal to have questions. Most professionals are happy to answer them although occasionally they may have to come back to you at a later date to provide an answer. We often understand and remember only one fourth of what we hear. That s why it s often helpful to bring someone else with you. It is normal to need things to be explained more than once. Making the most of an appointment 01

4 During your appointment or meeting Your questions are important; use your list and tick off the questions as they are asked and answered. Don t be afraid to ask if you don t understand, for example Can you say that again?, or I don t understand what you mean, could you explain it differently? Whilst your question is being answered you may want to make notes, or ask a family member or friend to take notes. Your notes may help to stimulate additional questions. If you don t understand any words, ask for them to be written down or explained. You may find CLDF s Glossary of Terms leaflet helpful. Check in with your child do they have any additional questions? Before you leave Summarise what has been said and the plan of action, as you understand it or ask for this to be done. Check that: You have covered all your questions and they have been answered to your satisfaction. All of your child s questions have been answered to their satisfaction and they understand what has been said. You understand what has been said. 02 Making the most of an appointment

5 Depending upon the nature of your appointment or meeting, additional questions may include: Checking that all the tests have been done. Finding out when test results will be available. Finding out who you need to contact to get test results. Asking who will look at and evaluate the test results and if tests will need to be repeated. What do the results mean? Who do you contact if you have any additional questions? Don t be afraid to ask for test results to be explained. The meaning of the results may flag up additional questions, for example knowing what the next steps are may help you to plan for the future. 03 Biliary Atresia a guide 03 Making the most of an appointment

6 After your appointment or meeting Write down the discussion and what happens next. Book any tests or future appointments. Put the dates in your diary. If you are the parent of a young person check in with your child, do they know what happens next? Do they want to talk about what was said? Do they understand? It may take some time to get your head around all the information you have been given. You may find that the information or answers you have been given raise new questions and you need to begin a new questions table. If family or friends have not been at the appointment you may want to sit down together to share information. CLDF also has a friends and relatives service and a young persons service. For more information contact the families or young persons officers whose details can be found at the end of this leaflet. If a question is on your mind and concerning you, it s always best to contact your hospital team and try to resolve it. Top Tip Keep a record of test results, these could prove invaluable during an appointment or meeting, especially if care is shared between two centres. 04 Making the most of an appointment

7 You may find it helpful to take some time out for you, the flow chart below has been designed to help you work through what you think and how you may be feeling. Before the Appointment During the Appointment After the Appointment What do I think? How do I feel? What did I think? How did I feel? What did I think? How did I feel? Is there anything that could help? Is there anything that could have helped? What went well? What didn t go well? YES NO YES NO What could help? What could help? Is there anything that could have helped or could help now? What can I do now? YES NO What can I do now? Telephone CLDF s Families Team to talk through how you are feeling Talk to friends or extended family Talk to other families in a similar position find out from CLDF s Families Team how you can do this Talk to someone from the hospital team Start a new questions chart in preparation for your next appointment or meeting What? What can I do now? Your ideas

8 Your Questions Your Question Have I asked it? Has it been answered? Families Team Young People s Team fighting childhood liver disease

9 Is there a charity taking action against the effects of childhood liver disease? Yes. Started by families in 1980, Children s Liver Disease Foundation (CLDF) leads the way in fighting all childhood liver disease. CLDF funds vital research, develops information and awareness programmes and supports families, young people and adults diagnosed in childhood who are living day in, day out with a liver condition or transplant. And its work has made a big difference and continues to help save lives. CLDF has so much to offer you: information, the opportunity to meet other families, events and regular updates. To find out more, call, or write today: Children s Liver Disease Foundation, 36 Great Charles Street, Birmingham, B3 3JY Main site: childliverdisease.org Young people s site: cldf-focus.org What are the roles of CLDF s Family and Young People s teams? CLDF s Family and Young People s teams are here for you, whether you want to talk about issues affecting you, meet and share with others or just belong to a group which cares, knows what it s like and is fighting to make a difference. You are not alone. Our parents say We don t know how we would have coped without CLDF s care and support. They have been just fantastic from the outset tremendous people, who are compassionate and so positive. They really care about families and children struggling with liver disease. When Emily was very ill we felt we were on the sidelines, knowing we couldn t influence the outcome and not in control. Getting involved in fundraising is something you can control and achieve a positive result. I really took comfort from that. Our young people say... Knowing CLDF is there is what I need. I can call whenever I want. Whatever I think and feel is listened to. Even when I called to tell them it was my birthday! I feel really well. It s great that CLDF has given us the chance to meet other young people outside of the hospital and have a fun time. I want them to do more things like this. Families Team Young People s Team Children s Liver Disease Foundation: 2002 Updated: November 2005; May 2006; February, September 2008; July 2010; April 2012; November 2013

10 Donation, Regular Gift & Gift Aid Declaration Form To make a one-off gift or set up a direct debit gift online, go to childliverdisease.org # I d like to make a gift to CLDF How much? Other... I enclose a cheque made payable to Children s Liver Disease Foundation I wish to pay by card MASTERCARD / VISA / DEBIT CARD (delete as appropriate) Card No. Expiry Date... /... /... Name on Card... Security Number:... (back of card) I d like to make a regular gift by direct debit to CLDF How much? other... How often? monthly quarterly half-yearly annually My bank details: Bank name:... Branch name:... My bank address: Postcode:... My bank sort code: My bank account number:... Please pay to Children s Liver Disease Foundation, account no , sort code: Starting on... /... /... until further notice. My signature:... Are you a UK taxpayer? Yes / No If yes, please give your gift under Gift Aid. This means that CLDF can claim the basic rate of tax you have already paid on the amount you are donating. It will not cost you anything. In order to qualify you must have paid enough UK income or capital gains tax to cover all your charitable donations. Other taxes such as Council Tax or VAT do not apply. We will confirm all gift aid details in your acknowledgement letter. Yes, please treat this and any future donations as given under gift aid. Date:... About you: First name:... Surname:...Title: Mr / Mrs / Ms / Miss /... My address is: Postcode:... Home telephone:... Mobile:... Home ... Work ... To claim gift aid we are required to have your full name and address including postcode. Please return your completed form to CLDF, address below. Thank you. Children s Liver Disease Foundation, 36 Great Charles Street, Birmingham B3 3JY

11 Useful contact details

12 Children s Liver Disease Foundation is the UK s leading organisation dedicated to taking action against the effects of childhood liver disease. It provides free of charge: A huge selection of literature and online animations on the working of the liver available in print and online Information packs for a wide range of audiences, including young people, parents/carers, GP practices, schools and nurseries, friends and relatives Families and young people s teams providing services in person, online, facebook, text and phone Developing services for adults diagnosed with a liver disease in childhood Website childliverdisease.org Young people s website cldf-focus.org National event programme for families and young people to meet, share and have fun Secure online message board childliverdisease.org/forum Around 75% of CLDF s annual income is derived from voluntary donations. Please help us to continue to support young people, families and adults diagnosed in childhood by making a donation. You can do this online or by completing the donation form in this leaflet. Even better, a regular direct debit gift will enable us to plan our work more fully. Thank you. Children s Liver Disease Foundation 36 Great Charles Street Birmingham B3 3JY Join the conversation Find us on Facebook search CLDF Scan with your smartphone to visit CLDF s website Scan with your smartphone and visit CLDF s Young People s website fighting childhood liver disease Registered charity number

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